Individual
JESSICA BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 PARK AVE STE 200, ORANGE PARK, FL 32073-5571
(904) 308-3751
Mailing address
2300 PARK AVE, ORANGE PARK, FL 32073-5571
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY004197
GA
103TC0700X
Clinical Psychologist
Primary
PY9992
FL
Other
Enumeration date
09/15/2019
Last updated
12/21/2021
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